关键词: Epididymo-orchitis Gastroenteritis Immunosuppression Raoutella Urinary tract infection

来  源:   DOI:10.1016/j.eucr.2024.102684   PDF(Pubmed)

Abstract:
This report documents the first case of Raoultella planticola epididymo-orchitis following campylobacter gastroenteritis in a 76-year-old male. Highlighting R. planticola\'s expanded pathogenic potential beyond common urinary tract infections, this case emphasizes its clinical significance in atypical genitourinary presentations, particularly in individuals with pre-existing conditions like diabetes mellitus and renal failure. Despite intrinsic ampicillin resistance, targeted ciprofloxacin treatment proved effective. This case underscores the necessity for broad diagnostic considerations and tailored antibiotic therapy in managing complex infections, advocating for increased awareness of emerging resistant uropathogens in clinical practice.
摘要:
该报告记录了一名76岁男性弯曲杆菌胃肠炎后的第一例扁平Raoultella附睾睾丸炎。突出了R.planticola的扩大致病潜力,超越了常见的尿路感染,该病例强调了其在非典型泌尿生殖系统表现中的临床意义,特别是在患有糖尿病和肾衰竭等预先存在的疾病的个体中。尽管固有的氨苄青霉素耐药性,环丙沙星靶向治疗被证明是有效的。该病例强调了在管理复杂感染时需要广泛的诊断考虑和定制的抗生素治疗。倡导在临床实践中提高对新兴耐药尿路病原体的认识。
公众号